[Brain injuries with abattoir guns].
The authors present a report on the treatment of 16 patients with brain injuries caused by a slaughterhouse gun. Nine patients had to be re-operated because of the presence of a foreign body; the primary operations of six patients were made in another surgical department. Two patients were re-operated twice. The reason for the first revision were bone fragments. The reason for the second revision was nasal liquorrhoea and posttraumatic hydrocephalus. Three patients (18.75%) of the investigated group died. The immediate cause of death was cerebral oedema. Eleven patients (68.75%) were referred for after-treatment to other health facilities, their condition had already improved. Two patients (12.5%) were referred in a poor, unaltered condition (coma). The rare incidence of gunshot injuries leads to a certain embarrassment how to treat patients with this type of injury. It was found that in gunshot wounds of the head and brain it is necessary to revise the gunshot canal from a craniotoic approach, remove foreign bodies, bone fragments, brain debris and then close perfectly the aperture in the dura mater, remove the margins of the bone contaminated with the injuring object and suture the skin. The authors draw attention to difficulties associated with localisation of the foreign body in the gunshot canal and possibilities of peroperative application of two-dimensional ultrasonography.
Gajdos
M
M
Neurochirurgická klinika LF UPJS a FNsP, Kosice, Slovenská republika.
Výrostko
J
J
D000003:Abattoirs; D000328:Adult; D001930:Brain Injuries / Q000209:etiology / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D005389:Firearms; D006801:Humans; D008297:Male; D013406:Suicide, Attempted; D014948:Wounds, Gunshot / Q000382:microbiology / Q000473:pathology / Q000601:surgery*
Poranenie mozgu jatocnou pistol'ou.